Detachment from reality in schizophrenia and psychosis
In this episode, the neuropsychiatrist Dr. Jesús Ramírez Bermúdez is explaining what psychosis is, how schizophrenia manifests, and how we can help individuals with this diagnosis to stay in reality. Dr. Jesús Ramírez Bermúdez will share his medical experience and guidance in understanding mental disorders.
This interview is very rich with answers to philosophical questions about reality and existence.
Also, after watching this episode, you will know when we have hallucinations without a mental illness.
Enjoy!
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00:00:00 Introducing Dr. Jesús Ramírez Bermúdez
00:01:38 Psychosis vs. schizophrenia
00:05:06 Hallucinations can appear not only in psychosis
00:06:09 What are delusions?
00:06:58 Distinguishing between a delusion and a real danger
00:08:45 Why isn't imagination a delusion?
00:10:50 Who brings a patient to a psychiatrist?
00:12:48 The definition of mental illness
00:13:43 Harmful behavior during psychosis
00:16:00 Typical delusions in psychosis
00:16:46 Diagnostic criteria for schizophrenia
00:17:45 Schizophrenia vs. existential crisis
00:18:44 Disconnect from reality and patient's own self
00:20:35 Body awareness and pain disorders in schizophrenia
00:22:01 Loss of agency and delusions of control
00:24:56 The ability to feel pleasure in schizophrenia
00:26:07 Typical hallucinations in schizophrenia
00:27:47 When schizophrenia is an opportunity
00:29:20 Is talking to yourself normal?
00:32:21 Conceptual disorganization in schizophrenia
00:33:51 Metaphor or disorganization of thinking?
00:36:49 When and why does schizophrenia manifest?
00:39:01 Genetic risk factors
00:42:27 Cannabis use as a risk factor
00:45:04 Risks during pregnancy and delivery
00:46:18 Human cruelty as a risk factor
00:49:04 Hypotheses on causes of schizophrenia
00:51:04 Anatomical brain abnormalities in schizophrenia
00:52:34 Dopamin dysfunction in schizophrenia
00:53:38 Diversity in patients with schizophrenia
00:55:35 How to help a person with schizophrenia if you are a friend/researcher/clinician